Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Andrew Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043891724

Jared Andrew Jackson, MD is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

809 82nd Parkway Gme Ofc - General Surgery
Myrtle Beach, SC 29572
Phone: (843) 692-1595
Fax: (843) 692-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (SC)

Record details

NPI number1043891724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2021
Last updated in NPPESApril 15, 2021
Certification dateMarch 23, 2021

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